Therapeutic options for the management of abnormal uterine bleeding

MacGregor, B., Munro, M. G. and Lumsden, M. (2023) Therapeutic options for the management of abnormal uterine bleeding. International Journal of Gynecology and Obstetrics, 162(S2), pp. 43-57. (doi: 10.1002/ijgo.14947)

Abstract

Just as the investigation of abnormal uterine bleeding (AUB) is approached systematically using the two FIGO systems for AUB in the reproductive years, treatment options can be considered similarly. Therapeutic options fall into two categories—medical and surgical—and while medical management is typically regarded as first-line therapy, there are several exceptions defined by the presenting cause or causes, mainly when infertility is a concurrent issue. In the early 1990s, up to 60% of women underwent a hysterectomy for the symptom of heavy menstrual bleeding (HMB), but this figure has decreased. The number of women undergoing a hysterectomy for benign disorders continues to decline, along with an increase in hysterectomies performed using minimally invasive techniques. Discussions about therapeutic options are tailored to the individual patient, and we include the risks and benefits of each option, including no management, to enable the patient to make an informed choice. The different types of treatment options and the factors affecting decision-making are considered in this article.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Lumsden, Professor Mary
• Authors: MacGregor, B., Munro, M. G., and Lumsden, M.
• College/School: College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
• Journal Name: International Journal of Gynecology and Obstetrics
• Publisher: Wiley
• ISSN: 0020-7292
• ISSN (Online): 1879-3479
• Published Online: 04 August 2023
• Copyright Holders: Copyright © 2023 International Federation of Gynecology and Obstetrics
• First Published: First published in International Journal of Gynecology and Obstetrics 162(S2):43-57
• Publisher Policy: Reproduced in accordance with the copyright policy of the publisher